Retrieval device

ABSTRACT

An endoscopic device for retrieving an object from within a human body is disclosed. The device includes a support assembly, a transmitting assembly, a wire, and a net element. The support assembly has a base and a tubular member. The transmitting assembly includes a handle and a motion transmitting link fixed to the handle and extending through at least a portion of the tubular member. The wire defines a loop portion and two leg portions. A proximal end of each leg portion is secured to the link by a first connection and the two leg portions are secured to each other by at least a second connection distal from the first connection. The net element has a distally protruding portion secured to the loop portion and a proximally protruding portion secured relative to the leg portions.

CROSS-REFERENCE TO RELATED APPLICATIONS

This application is a continuation of U.S. Non-Provisional patentapplication Ser. No. 14/061,395 entitled “Retrieval Device,” filed Oct.23, 2013, which is a continuation of U.S. Non-Provisional patentapplication Ser. No. 13/213,689 entitled “Retrieval Device,” filed Aug.19, 2011, and issued as U.S. Pat. No. 8,591,521 on Nov. 26, 2013, whichis a continuation-in-part of U.S. Non-Provisional patent applicationSer. No. 12/135,473, entitled “Retrieval Device,” filed Jun. 9, 2008,and issued as U.S. Pat. No. 8,016,838 on Sep. 13, 2011, which claimspriority to, and benefit of, U.S. Provisional Application No.60/942,788, entitled “Retrieval Device,” filed Jun. 8, 2007, the entiredisclosures of which are incorporated herein by reference.

BACKGROUND

Endoscopic retrieval or removal devices are known in the art and areconventionally used to recover objects from inside a human subject. Suchobjects may include severed human tissue, foreign objects, or foodbolus. Some typical devices include forceps or clasps to grab objects.Certain devices of this type are not well-suited for retrieving heavy,rounded or blunt objects such as large tissue masses, a food bolus,coins, marbles and batteries because the objects are difficult to holdsecure. Further, if an object is dropped near the trachea during theremoval process, the results can be catastrophic for the patient. Otherdevices include a variety of net support and net operating structures.

Many retrieval devices are used within an instrument channel of anendoscope during endoscopic medical procedures. These devices aregenerally expandable and collapsible relative to a tube inserted intothe instrument channel. For example, a wire loop at the distal end ofthe device may expand and collapse relative to the tube by action of ahandle at the proximal end of the device. Further, a net may be securedto the expandable and collapsible wire loop.

SUMMARY

In an illustrated embodiment of the invention, a device for retrievingobjects, such as for example, impacted food bolus, foreign objects, andsevered human tissue, is disclosed. The device is for use within aninstrument channel of an endoscope during endoscopic medical procedures.

The device includes a support assembly, a transmitting assembly, a wiredefining a loop portion and two leg portions, and a net element having adistally protruding portion and a proximally protruding portion. Thesupport assembly includes a base and an elongated tubular member. Thetransmitting assembly includes a handle movable relative to the base,and a link having a first end fixed to the handle and a second endremote from the base. The link extends through at least a portion of thetubular member. Each leg portion is disposed proximal from the loopportion. A proximal end of each leg portion is secured to the second endof the link by a first connection. The two leg portions are secured toeach other by at least a second connection at a location between thefirst connection and the loop portion. The distally protruding portionis secured to a distal end of the loop portion. The proximallyprotruding portion is secured between the two leg portions at a locationproximal from the second connection.

Further features and advantages of the invention will become apparentfrom the following detailed description made with reference to theaccompanying drawings.

BRIEF DESCRIPTION OF THE DRAWINGS

FIG. 1 is a perspective view of a retrieval device constructed inaccordance with an embodiment of the present invention;

FIG. 2 is a cross-sectional fragmentary view of the distal portion ofthe device illustrated in FIG. 1, showing a retrieval net in a storedposition within a tube;

FIG. 3 is an alternative view of FIG. 2, showing the retrieval net in adeployed position outside of the tube;

FIG. 4 is an exploded perspective view of the designated circularsection of FIG. 1, showing detail of the net element and the distal endof the loop;

FIG. 5 is an exploded fragmentary view of the net of a retrieval device,showing an alternative distal end of the loop;

FIG. 6 is an exploded fragmentary view of the net of a retrieval device,showing yet another alternative distal end of the loop;

FIG. 7 is a perspective view of a distal portion of the deviceillustrated in FIG. 4, showing an exemplary food bolus captured withinthe retrieval net;

FIGS. 8-10 are views of a portion of the device of FIG. 4, showing theportion during a variety of assembly steps;

FIG. 11 is a front elevation view of a distal portion of the device ofFIG. 4;

FIGS. 12a-12b and 13 are enlarged views of the designated circularsections of FIG. 11, showing a variety of structural detail;

FIG. 14a is an enlarged sectional view of the device of FIG. 4, showinga proximal net connection;

FIG. 14b is an enlarged sectional view of the device of FIG. 4, showinganother proximal net connection;

FIG. 15 is a top view of a net element according to another embodimentof the invention;

FIG. 16 is a front elevation view of a distal portion of the deviceaccording to another embodiment of the invention;

FIG. 17 is a cross-sectional fragmentary view of the distal portion ofthe device illustrated in FIG. 16, showing a retrieval net in a deployedposition;

FIG. 18 is a cross-sectional fragmentary view of the distal portion ofthe device illustrated in FIG. 16, showing the retrieval net in a storedposition;

FIG. 19 is an exploded perspective view of a distal portion of a device,showing another embodiment of the invention with the net elementattached directly to the distal end of the loop;

FIG. 20 is an exploded perspective view of a distal portion of a device,showing another embodiment of the invention with the net elementattached directly to the distal end of the loop; and

FIG. 21 is a top view of the net element of FIG. 20.

DETAILED DESCRIPTION

The Detailed Description merely describes preferred embodiments of theinvention and is not intended to limit the scope of the invention orclaims in any way. Indeed, the invention as described by the claims isbroader than and unlimited by the preferred embodiments, and the termsused have their full ordinary meaning.

A device for retrieving an object from within a human subject isdisclosed. In discussing the device, the terms distal and proximal areused with respect to the operator's hand. In other words, when thedevice is used within the instrument channel of an endoscope or similardevice, the proximal and distal orientation are relative to the positionof the surgeon or operator of the device. Further, it should be notedthat the terms first connection, second connection, third connection,and the like do not imply a manufacturing order.

It should also be noted that for the purposes of this application, theterms attach (attached), connect (connected), and link (linked) are notlimited to direct attachment, connection, or linking but also includeindirect attachment, connection, or linking with intermediate parts,components, or assemblies being located between the two parts beingattached, connected, or linked to one another. In addition, the termsattach (attached), connect (connected), and link (linked) may includetwo parts integrally formed or unitarily constructed.

For exemplary purposes only, the invention will be discussed in regardto a device designed for use within an endoscope for retrieving objectswithin relatively tight passages, such as for example, impacted foodbolus from the esophagus. It should be apparent to others with ordinaryskill in the art that the discussion and Figures included in thisapplication are by way of example only, and that the invention can beutilized with endoscopic retrieval devices having a wide variety ofstructures, shapes, strengths, or purposes. One of many other exemplaryuses for the invention is to remove polyps from the colon.

Several exemplary devices for endoscopic retrieval of an object fromwithin a subject are disclosed in U.S. Pat. No. 6,814,739 to Secrest etal.; application Ser. No. 10/965,542, entitled “Retrieval Device” andfiled Jul. 28, 2005; and application Ser. No. 11/137,763, entitled“Retrieval Device” and filed Dec. 1, 2005, each of which incorporatedherein by reference in its entirety, to the extent that any do notconflict with the present application.

As mentioned, devices using netting have been developed to capturerounded or blunt objects. In the use of devices having netting, and itis believed in the use of other devices, physicians have experienceddifficulty in recovering certain objects, such as for example, impactedfood bolus from the esophagus. A bolus is a mass of masticated or chewedfood. In some cases, the bolus becomes impacted in the esophagus due todisease or other disorders and consequently does not pass into thestomach. It may be more difficult to position a net over an object ofthis type or the object may be heavier than the human tissue or foreignobject for which a typical net device was originally designed. Thisproblem is especially apparent when manipulating the device inrelatively tight places within the body. As a result, netting supportcollapses and does not retain its shape in a deployed position whenholding the captured object. Further, the netting may tear or netconnections may fail causing reliability concerns.

To solve these and other problems, the retrieval device of the inventionis more reliable, structurally simpler, and less costly to manufacturethan prior devices. For example, in some embodiments, the proximalportion of the net element is secured to the wire that forms the loopand leg portions of the retrieval net using a shorter tether or anchorthan previous designs which anchor the net element at a more proximallocation. In other embodiments, no tether or anchor is used to securethe proximal portion of the net element and instead the net element isrouted between welds, or other similar connections, connecting the legportions of the wire together. Where no tether is used to secure theproximal portion of the net element, the chances of the net elementbreaking or tearing are reduced because the forces are distributed moreevenly over a greater area instead of at an isolated point of contact.

Further, in some embodiments, the proximal portion of the net element atleast partially surrounds the connection of the leg portions to thecable and/or the connection securing the leg portions together. As such,the proximal portion of the net element inhibits damage to theconnections and the inside of the tubular member. The proximal portionof the net element also provides a damping effect on the cable movementtoward the distal end of the tubular member when the handle isactivated. This also provides more control over the deployment of thenet and cable and controls the portion of the device that exits theopening of the tubular member when the retrieval net is in the deployedposition. The proximal portion of the net element also helps to centerthe leg portions of the wire and the cable within the tubular member.

The retrieval net generally collapses and expands relative to a tubeinserted through the instrument channel of the endoscope. In thecollapsed position, the retrieval net is small enough in diameter to fitinside at least the distal end of a lumen of the tubing. Further, anyconnection securing the net element to the loop should be small enoughto fit within the lumen and allow the retrieval net to collapse andexpand repeatedly. The connection should also be able to hold the netelement in place relative to the loop during the expansion and collapseof the retrieval net. Further, the loop is generally connected to amotion transmitting link. The motion transmitting link allows the loopto be manipulated by a handle at the proximal end of the device. Assuch, any connection or connections securing the loop to the motiontransmitting link must also be small enough to fit within the lumen andallow the retrieval net to collapse and expand repeatedly. If either ofthese connections is too large, the connection may drag or catch on theinside wall of the lumen. The friction between the connection and theinside wall of the lumen may prohibit essentially a 1:1 ratio betweenthe movement of the handle and the movement of the distal end of theloop or retrieval net.

The net element is generally supported by the loop by threading, orweaving, the flat wire through the holes in the net element. However,the net element may be supported by the loop by any suitable methodknown in the art. For example, the net element may wrap around the loop,like a sleeve, or be tied to the loop. Further, the net element may besecured to the wire by tethers, anchors, adhesives, or the like suchthat the net element is held in place relative to the loop during theexpansion and collapse of the retrieval net. For example, tethers oranchors may be used to secure the net element to the distal end and theproximal end of the loop. In an embodiment of the invention, theproximal portion of the net element is attached adjacent a connectionsecuring the two leg portions together, by a tether or anchor, such asfor example, a string tie. The proximal portion of the net element maybe attached using a tether or anchor to the proximal side of theconnection securing the two leg portion together. The proximal portionof the net element may be attached using a tether or anchor to a 360degree curved portion of at least one leg portion. The distal portion ofthe net element may also be attached using a tether or anchor to a 360degree curved portion of the loop portion. In another embodiment, theproximal portion of the net element may be secured to the leg portionsby routing the net element through connections securing the two legportions together. The size and smooth or curved contour of theseconnections reduce the drag or friction on the inside wall of the lumen,permitting essentially a 1:1 ratio between the movement of the handleand the movement of the distal end of the loop or retrieval net.

Referring now to the drawings, FIG. 1 is a perspective view of aretrieval device 10 constructed in accordance with an embodiment of theinvention. The device 10 includes a support base or elongated body 14.The body 14 includes a ring 16 at a proximal end. The device 10 alsoincludes a handle 18 having two rings 20. The handle 18 is mounted overan interior section 15 of the body 14 and is movable relative to thebody in the direction A₁ as illustrated, or in an opposing direction.For example, an operator may place a finger in each of the rings 20 andthumb of the same hand in the body ring 16. By moving the two fingers inthe direction A₁, an operator can move the handle 18 relative to thebody 14. In contrast, the handle 18 can be slid in a direction oppositeA₁ by pulling one's fingers towards one's thumb.

The device 10 includes an elongated introducer member or tubular member24 having a first end 26 fixed to the body 14 and a second end 28 remotefrom the body. The tubular member 24 and the body 14 are a fixed supportassembly for the moving parts of the device 10. The tubular member 24may be any suitable, small-diameter tube formed of a non-reactivelow-friction flexible material, such as for example,polytetraflourethylene. The tubular member 24 defines a lumen with anopening 30 at the tubular member second end 28, as best seen in FIG. 2which shows a cross-sectional view of a distal portion of the device 10.

A motion transmitting link 34 is connected to the handle 18. The linkcan be a solid cable, a hollow tube, or any suitable elongated object orcombination of objects for transferring axial motion from the handle 18to other parts of the device. The link 34 has a first end 36 fixed tothe handle 18 and a second end remote from the body 14. As shown in thedrawings, the link extends substantially through the tubular member 24lumen. The link may be constructed of any suitable rigid material. Thelink may be one piece or formed from a series of pieces and connections,such as for example, hypodermic tubes, swage connections, and cables.

Still referring to FIG. 1, the device also includes a retrieval net 50.The retrieval net 50 is used by the operator to capture and retrieveobjects from within a human subject. The retrieval net 50 includes aloop 52, or loop portion, and a net element 54 secured to the loop. Thenet element 54 is supported by the loop 52 by threading, or weaving, theloop through holes in the net element. However, the net element 54 maybe supported by the loop 52 by any suitable method known in the art.Further, it should be apparent to others with ordinary skill in the artthat a variety of net shapes and sizes can be utilized in the practiceof this invention.

As shown in FIGS. 3 and 4, a tether or anchor 57 a disposed at thedistal portion of the net element 54 anchors the net element to the loop52 at a distal end 53 of the loop. Other distal tether or anchor designsand distal net anchoring methods can be utilized in the practice of thisinvention.

As discussed, the retrieval net 50 is designed for movement between twopositions. FIGS. 1 and 3 show the retrieval net 50 in a deployedposition. In this position, the retrieval net 50 has a length L₁ and awidth W₁. FIG. 2 is a cross-sectional view of a distal portion of thedevice 10, showing the retrieval net 50 in a stored position within thetube 24. In this position, the retrieval net 50 has a length L₂ which isconsiderably longer than L₁. As shown in FIG. 2, the retrieval net 50 isdisposed within the tube 24 for deployment and retrieval through thetubular member lumen opening 30. By movement of the handle 18 relativeto the body 14, the retrieval net 50 is movable between either thedeployed or stored positions.

Referring again to FIG. 3, the retrieval net 50 is illustrated in adeployed position and fully expanded outside of the tube 24 second end28. The net element 54 may be constructed of any suitable light weightmaterial, such as for example, nylon mesh string 56, as best seen inFIG. 4. The net element 54 has a centrally located object receivingpouch section 58. To be discussed further in greater detail, capturedobjects rest within this section as shown in FIG. 7.

As discussed, the retrieval net 50 shown in FIG. 3 includes a loopportion 52 formed by a wire. The loop 52 acts as a support for the netelement 54 when the retrieval net is deployed. The loop 52 isresiliently movable between a collapsed position shown in FIG. 2 to anexpanded position shown in FIG. 3 by operator action of the handle 18relative to the body 14. A distal end 53 of the loop 52 includesstructure to resist collapse of the loop during use.

Referring now to FIG. 4, an exploded perspective view of the designatedcircular section of FIG. 1 is shown. In the embodiment shown, the loop52 is formed by a flat wire constructed of a resilient material, such asfor example, 304 stainless steel. The loop 52 may be constructed from amaterial having a tensile strength greater than 300,000 psi. Again, itshould be apparent to others with ordinary skill in the art that thepresent invention can be utilized with a loop 52 constructed from a widevariety of materials.

The device 10 as illustrated in FIGS. 3 and 4 includes several featuresthat promote expansion and prohibit collapse when an object is heldwithin the net element 54 or the device is used in a relatively tightpassage of the body. The loop 52 includes several collapse-resistantbends 60. The location of the bends 60 act as memory points and areretained by the loop 52 through multiple deployments. These bends 60 areconstructed such that the loop 52 forms a polygon shape when deployed.As shown, the loop 52 forms a general hexagon shape. It is believed thata polygon shape is more resilient and less likely to collapse when anobject is held within the net or when retrieving an object within anarrow passage. It should be understood by those with ordinary skill inthe art that the polygon shape shown in FIG. 3 is for exemplary purposesonly, and other polygon or non-polygon shapes can be used in thepractice of the invention, such as for example oval or round shapes.

As shown in FIG. 4, the loop 52 further includes a 360 degree curvedportion 64 disposed at a distal end 53 of the loop. This curved portion64 acts as a spring tip to further prohibit collapse when an object isheld within the retrieval net 50. This spring tip 64 also acts topromote polygon segments 65 a, 65 b to remain apart during deployment.This feature is beneficial in tight passages, such as for example, theesophagus. As mentioned, the tether or anchor 57 a anchors the netelement 54 to the curved portion 64 of the loop 52.

Several other embodiments include alternative shapes and structures ofthe distal end of the loop. FIG. 5 shows the distal end of the supportwire in an alternative shape. The loop 52 is bent to form a protrudingtip 68. It is believed that this shape promotes polygon segments 69 a,69 b to remain apart during deployment and use.

Referring to FIG. 6, an exploded fragmentary view of other alternativestructure of the distal end of the loop 52 is shown. As in theembodiment shown in FIG. 5, the distal end of the loop 52 is bent into aprotruding tip 68. Over the spring tip 68, a tip cap member 70 is pressfit or connected by another suitable technique. The tip 70 may beconstructed of plastic or any other suitable material. The tip 70includes an aperture 72 therethrough as a distal end. As shown, thetether or anchor 57 a is placed through the aperture and tied off tosecure the net element 54 to the loop 52. To be discussed in greaterdetail, in one embodiment, a corresponding tether or anchor 57 b can beused to secure the net element 54 on the proximal side of the retrievalnet 50. The tether or anchor 57 b is illustrated in FIGS. 14a-14b as atie-off. It should be understood by those with ordinary skill in the artthat the illustrated tethers or anchors 57 a, 57 b are for exemplarypurposes only, and that other tether or anchor techniques and structuremay be used in the practice of the invention.

Referring now to FIGS. 8-10, a portion of the device of FIG. 4 is shownduring a variety of assembly steps. The loop 52 of the wire is shown inFIG. 8 in a polygon form prior to assembly within the tube 24. The wireextends back toward the proximal end of the device 10 and forms twoadjacent, or leg, portions 100 and 102. The leg portions 100, 102 aresecured to each other by a connection 104 a, such as for example, with aweld or by crimping or twisting the portions together, having an axiallength L_(w) of sufficient size to secure the portions together. Asshown, the leg portions 100, 102 are joined by a weld 104 a. The legportions 100, 102 extend beyond the weld 104 a a length L₃. Theextension lengths of the two leg portions 100, 102 may be mismatched bya length L_(m), but this mismatch is not required. The mismatch inextension lengths of the two leg portions 100, 102 allows space toconnect the two leg portions to the cable during manufacturing of thedevice.

The net element 54 is shown in FIGS. 8-10 in various stages of assembly.In FIG. 8, the net element 54 is shown as it is just beginning to bewoven around the flat wire loop 52. For purposes of perspective only,the net element 54 is shown in various positions in FIG. 9. With the netelement 54 in a first position, the net element has an outer edge 106.In this first position, the net element 54 is shown to have the outeredge 106 cooperatively shaped with the loop 52. It should be apparent toothers with ordinary skill in the art that a variety of net shapes andsizes can be utilized in the practice of this invention. The outer edge106 illustrates the size of the net element 54 in relation to the loop52 prior to the net element being woven on the loop.

In a second position, the outer edge of the net element 54 now becomesline or outer edge 108. The second position shows net element 54 afterit is woven on the loop 52. As can be seen, after the net element 54 iswoven on the loop 52, the outer edge 106 of the net element 54 is nowcloser in position to the loop 52. This change in position creates thereceiving pouch 58. As shown in FIG. 9, the net element 54 in the secondposition or woven position includes an outer peripheral portion 109 thatextends beyond the loop 52. As shown in FIG. 10, this excess portion 109can be trimmed or otherwise removed prior to final assembly.

Two tethers or anchors are shown anchoring the net element 54 to theloop 52 in FIG. 10. A first distal tether or anchor 57 a is shown, aspreviously described in regard to FIGS. 3 and 4. A second proximaltether or anchor 57 b is shown and extends from the net element 54 tothe proximal side of connection 104 a securing the leg portions 100, 102to each other. The second proximal tether or anchor 57 b is shown inmore detail in FIGS. 14a and 14 b.

FIG. 11 is a front elevation view of the device shown after subsequentassembly steps have been completed. A second connection 104 b proximalto the first connection 104 a is shown. As shown, the second connection104 b is a weld. The second connection 104 b joins the leg portions 100,102 with a cable 110. As best shown in FIG. 12a , the leg portions 100,102 are extended over the cable a length Lw. Also, as shown in FIG. 8,the leg portions 100, 102 may be mismatched. The size and length of theproximal connection 104 b may be the same or different than the lengthof the distal connection 104 a. The connection 104 b is of adequatestrength to maintain correlating axial movement between the cable 110and the leg portions 100, 102. In FIG. 12b , a section of heat shrinkmaterial 112 is shown over the connection 104 b to inhibit damage to thetubular member.

Referring now to FIG. 13, the proximal end of the cable 110 is anchoredaxially in relation to the handle by a length of hypodermic tube 114. InFIG. 13, the cable 110 is shown secured to the tube 114 by a swageconnection 116 having a length L_(s). The tube 114 extends distallybeyond the swage connection 116 of length L₅. The swage connection 116is of adequate strength to maintain correlating axial movement betweenthe tube 114 and the cable 110. As shown in FIG. 11, the overall lengthof the motion transmitting link, which includes the tube 114 and thecable 110, is L₄.

FIG. 14a is an enlarged view of the distal portion 28 of the tube 24. Asshown, the tether or anchor 57 b anchors the proximal portion of the netelement 54 and extends from the net element to the proximal side of theweld connection 104 a. As shown, no internal connectors are used in thisdesign to close the loop 52 or secure the loop 52 to the cable 110.

FIG. 14b is another enlarged view of the distal portion 28 of the tube24. As shown, the ends of the leg portions 100, 102 of the wire areconnected to the cable 110. However, the leg portions 100, 102 of thewire may be connected, or secured, to each other, such as for example,with a weld or by crimping or twisting the portions together, but is notshown. In FIG. 14b , the tether or anchor 57 b anchors the proximal, ortail, portion of the net element 54 to a 360 curved portion 192 of legportion 102 of the wire. It should be apparent to others with ordinaryskill in the art that the curved portion may be included on either orboth leg portions of the wire.

In the exemplary device shown in FIGS. 1-14 b, the tube 114, cable 110,and connections thereof axially connect to form the transmitting link34. However, other combinations of elements are possible.

A net element 254 is shown in FIG. 15 according to another embodiment ofthe invention. As shown, the net element 254 has an outer edge 206cooperatively shaped with the loop portion 252 of the device 200 shownin FIG. 16. It should be apparent to others with ordinary skill in theart that a variety of net shapes and sizes can be utilized in thepractice of this invention. The edge 206 is illustrated as the size ofthe net element 254 in relation to the loop 252 prior to the net elementbeing woven on the loop. Further, as shown, the proximal portion of thenet element 254 comprises a tail portion 290. As will be discussed, thetail portion 290 is used to secure the net element 254 to the wire.

FIGS. 16-18 show a device 200 according to another embodiment of theinvention. As shown in FIG. 16, the device 200 includes a retrieval net250. The retrieval net 250 includes a wire forming a loop portion 252and two adjacent leg portions 201, 202 and a net element 254 secured tothe loop portion. The net element 254 is supported by the loop portion252 by threading, or weaving, the wire through holes in the net element.As shown in FIG. 16, a tether or anchor 257 a disposed at the distalportion of the net element 254 anchors the net element to the loopportion 252 at a distal end of the loop portion.

The retrieval net 250 of device 200 is designed for movement between twopositions. FIG. 16 shows the retrieval net 250 in a deployed position.FIGS. 17 and 18 are cross-sectional views of a distal portion of thedevice 200, showing the loop portion 252 of the retrieval net in adeployed position (FIG. 17) and stored position within the tube 224(FIG. 18). As shown in FIG. 18, the retrieval net is disposed within thetube 224 for deployment and retrieval through the tubular member lumenopening. By movement of the handle 218 relative to the body 214, theretrieval net 250 is movable between either the deployed or storedpositions.

Referring again to FIGS. 16 and 17, the retrieval net 250 is illustratedin a deployed position and fully expanded outside of the tube 224 secondend 228. The net element 254 may be constructed of any suitable lightweight material, such as for example, nylon mesh string. The net element254 has a centrally located object receiving pouch section 258. Further,as shown, the proximal portion of the net element 254 includes a tailportion 290.

As shown in FIGS. 16-18, the wire extends back toward the proximal endof the device 200 and forms two adjacent leg portions 201 and 202. Theleg portions 201, 202 are secured to each other by two connections 204a, 204 b. As shown, the leg portions 201, 202 are joined by two welds.However, the leg portions 201, 202 may be secured to each other by anysuitable method known in the art, such as for example by crimping ortwisting the portions together.

As shown in FIGS. 16-18, the tail portion 290 of the net element 254 isrouted between the connections 204 a, 204 b to secure the proximalportion of the net element to the wire. As such, the tail portion 290 ofthe net element 254 is secured, or pinched, within the opening 292defined by the connections 204 a, 204 b and the two leg portions 201,202. Securing the proximal portion of the net element 254 between theconnections 204 a, 204 b reduces the cost and complexity ofmanufacturing the retrieval device. Further, no tether or anchor is usedto secure the proximal portion of the net element, reducing the chanceof the net element tearing at the tether connection point, or the tetheror anchor itself ripping.

Further, as shown in FIGS. 17-18, the tail portion 290 of the netelement 254 at least partially surrounds the connection 204 c of the legportions 201, 202 to the cable 210. The tail portion 290 of the netelement 254 provides a damping effect on the cable 210 movement towardthe distal end 228 of the tube 224 when the handle 218 is activated.This also provides more control over the deployment of the net and cable210 and controls the portion of the device that exits the opening of thetubular member 224 when the retrieval net is in the deployed position.The mesh of the tail portion 290 of the net element 254 also helps tocenter the leg portions 201, 202 of the wire and the cable 210 withinthe tubular member 224. The mesh of the tail portion 290 of the netelement 254 also inhibits damage to the connections 204 a, 204 b, and204 c and the inside of the tubular member 224.

In another embodiment of the invention, the net element has a distallyprotruding portion and a proximally protruding portion. The protrudingportions are shaped and adapted to permit an operator at assemble andsecure the net element directly to a corresponding segment of the wirewithout the use of a tether. The distally protruding portion is secureddirectly to a distal end of the loop portion. The proximally protrudingportion is secured between the two leg portions at a location proximalfrom the second connection.

Referring now to FIG. 19, a perspective view of a distal portion of aretrieval device is shown. The net element 320 is attached directly tothe distal end of the loop 52 without the use of a tether. The netelement 320 is constructed from suitable light weight material, such asfor example, a plurality of nylon mesh string, such as for example, theillustrated strings 322, 324, 326, 328, 330, 332, 334, 336, 338, 340,342, 344, 346, 348 forming a woven pattern. At least some of the stringscollectively form a distally protruding portion 350 of the net element320.

The distally protruding portion 350 is connected directly to the distalend of the loop 52. In the illustrated example, the strings alternate inposition, extending either above or below the polygon segments 65 a, 65b. For example, illustrated string 340 is over an external portion ofthe curved portion 64 and below an internal portion of the curvedportion 64, while illustrated 336 is under an external portion of thecurved portion 64 and above an internal portion of the curved portion64, with portions of several strings 340, 336 woven into and through acenter opening within the 360 degree curved portion 64. As such, thedistally protruding portion 350 is secured to a distal end of the loop52 at the curved portion 64. It should be apparent to others withordinary skill in the art that the string pattern of FIG. 19 is forexample only, and other string patterns may be utilized in the practiceof this invention.

FIG. 20 shows another embodiment of the invention with the net element354 attached directly to the distal end of the loop 52. The net element354 includes a distally protruding portion 390. The protruding portionmay be one of many shapes. The illustrated distally protruding portion390 is in the shape of a tail. The tail is bundled and inserted throughthe curved portion 64 and secured to the curved portion by a knot. Thetail may be secured by any function method or technique. The distalprotruding portion 390 eliminates the need for a tether, tie or othersecuring element. As a result, assembly time, labor costs and materialcosts are reduced.

Specifically, FIG. 20 shows an example of a knot where the tail 390 isthreaded top to bottom through an opening within curved portion 64,wrapped counterclockwise around a proximal exterior portion of curvedportion 64, threaded between a top of the net element 354 and a bottomof polygon segment 65 b, and pulled at least partially in between coilsof the curved portion 64 to knot or secure the tail 390 to the curvedportion 64 of the loop 52. It should be apparent to others with ordinaryskill in the art that the tail routing pattern of FIG. 20 is for exampleonly, and other tail routing patterns may be utilized in the practice ofthis invention.

A top view of the net element 354 is illustrated in FIG. 21. As shown,the net element 354 has an outer edge 306 cooperatively shaped with theloop portion 252 of the device 200 shown in FIG. 16. It should beapparent to others with ordinary skill in the art that a variety of netshapes and sizes can be utilized in the practice of this invention.

The edge 306 is illustrated as the size of the net element 354 inrelation to the loop 252 prior to the net element being woven on theloop. Further, as shown, the proximal portion of the net element 354includes a tail portion 290. As discussed in regard to the device ofFIG. 16, the tail portion 290 is used to secure the net element 254 tothe wire. The distal portion of the net element includes a distallyprotruding portion. As shown, the distal portion includes a tail portion390. As discussed, the tail portion is securable directly to a curvedportion 64 without the use of a tether or other securing element.

In an exemplary operation using the device, the patient is intubatedwith an endoscope. The device 10 is inserted through an instrumentchannel of the endoscope, either before or after intubation. The deviceis inserted with the retrieval net in a stored position. The surgeon oroperator utilizing the optical features of the endoscope will identifythe object for removal. After identification of the object, the surgeonor operator will move the handle with respect to the base to deploy theretrieval net into the deployed position. The surgeon or operator willmanipulate the object into the receiving pouch by one of a variety oftechniques, including the use of additional endoscopic tools. Forexample, the surgeon or operator may manipulate the snare over the topof the object and enclose the net, or manipulate the snare under theobject and enclose the net. Further, the surgeon or operator may use thenet as a scoop, relying on the lateral stability of the device. Once theobject is within the pouch, the surgeon or operator may manipulate thehandle with respect to the body to slightly close the net around theobject. FIG. 7 is a perspective view of a distal portion of the deviceillustrated in FIG. 4, showing a food bolus captured within the net. Inthis position, the loop retains an expanded configuration with an object80 retained within the pouch section 58. The surgeon or operator mayfurther close the loop to secure or hold the food bolus. The endoscopenow may be removed from the patient with risk of loss of the food bolusgreatly reduced as compared to prior art devices.

While several embodiments of the invention has been illustrated anddescribed in considerable detail, the present invention is not to beconsidered limited to the precise construction disclosed. Variousadaptations, modifications and uses of the invention may occur to thoseskilled in the arts to which the invention relates. It is the intentionto cover all such adaptations, modifications and uses falling within thescope or spirit of the claims filed herewith.

We claim:
 1. An endoscopic device for retrieving an object from within ahuman body, comprising: a support assembly including a base and anelongated tubular member; a transmitting assembly including a handlemovable relative to the base, and a link having a first end fixed to thehandle and a second end remote from the base, wherein the link extendsthrough at least a portion of the tubular member; a wire defining a loopportion and two adjacent leg portions, wherein the loop portion beginsand ends at a distal side of the two adjacent leg portions, such thateach leg portion is disposed on a proximal side of the loop portion,wherein the two adjacent leg portions are secured to each other by afirst connection at the distal side where the loop portion ends, whereina length of each leg portion extending in a proximal direction from thefirst connection differs, wherein a proximal end of each leg portions issecured to the second end of the link by a second connection, andwherein portions of the two adjacent leg portions are not secured toeach other between the second connection and the first connection; and anet element having a distal portion secured to the loop portion and aproximal portion, wherein the proximal portion includes a tail portion,wherein the net element has a mesh patterned structure, wherein aproximal portion of the mesh patterned structure extends at least to anddirectly contacts the two adjacent leg portions, wherein the proximalportion of the mesh patterned structure is directly secured to the twoadjacent leg portions; wherein the tail portion at least partiallysurrounds at least one of the first connection and the secondconnection; and wherein the loop portion is movable between an expandedposition outside the tubular member and a collapsed position within thetubular member by action of the handle relative to the base.
 2. Thedevice of claim 1, wherein the mesh patterned structure of the proximalportion is adhered to the two adjacent leg portions.
 3. The device ofclaim 1, wherein the distal portion of the net element is adhered to theloop portion of the wire.
 4. The device of claim 1 further comprising: atether or anchor securing a proximal side of the net element at one ormore of the two adjacent leg portions.
 5. The device of claim 4, whereinthe tether or anchor is secured to the proximal side of the net elementand a curved portion of at least one of the two adjacent leg portions.6. The device of claim 4, wherein the tether or anchor is securedbetween the two adjacent leg portions.
 7. The device of claim 6, whereinthe tether or anchor is secured between the two leg portions and betweenthe first connection and the second connection.
 8. The device of claim1, wherein the tail portion surrounds both the first connection and thesecond connection.
 9. The device of claim 1, wherein the tail portiononly surrounds the first connection.
 10. The device of claim 1, whereinthe tail portion only surrounds the second connection.